HomeMy Public PortalAbout5621 MCCULLOCH AVE_Plumbing__ MU57-CE817-11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES Job Q 4 "
DEPARMW OF COUNTY ENGINEER MEZEM
BUILDING AND SAFETY DIVISION BUILDING 5621 Mc Cu 11 o c h A v d.
JOF N A.LAMBIE.County Engineer ADDRESS
ASSATT D. GRIFFIN,Supt of Building LOCALITY
le City
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM CROSS ST.
2 WATER CLOSET OWNER Lar wood Construction
1 SAM TUR ADDRESS 10229 Lower Azusa Rd.
sHOWER CITY E I Mapir. TEL.NO.
2 LAVATORY CONTRACTOR S i ch a n d Cavanaugh P l b.
1 SINK ADDRESS 1335-4 S, Central
DISHWASHER CITY Chino TEL NO.
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION NO. 1 16 6 COUNTY ❑
` 1 CLOTFIES WASHER DISTg NO. GROUP Z NE RE o INSPECTION
01
1 WATER HEATER c7
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
0 PER ITEM
ONFEmvRE iNiATURE
o '• �'��,�,�. PATH
1NPEGOR SS
' G
UNDER SLAB-WORK _
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE 1100 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T0.COMPLY HOT WATER HEATER I �/� A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ..
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/0$ ' GAS TEST
LICENSED AS REQUIRED BY .LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA OPERTY.
SIGNATURE
OFPERMITTE FINAL
ROSERTA.WOOD.
®P VALIDATION SUPERVISING MECHANICAL ENG,n
CK. N.O. CASH
1,kC0 5 0 6 1 n APR 14 5 A 12.0 0 � :
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0910260001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: I
ITR: 24579 IT: 16 I 5621 MCCULLOCH AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802942 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18573-011-024 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I I
ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 110/26/09 SR 10/26/10 I
1 1 TOTAL FEES 76.35 1 I
10WNER: TEL. NO: I IFINAL DATE FINAL BY: CODE:
1JIN, LI (626) 448-8636- I 1 I
15621 MCCULLOCH AV I I I
ITEMP 917802942 I IDESCRIPTION OF WORK 1
IPLUMBING FOR BATHROOM REMODEL [
(APPLICANT: TEL. NO: 1 I
SAME AS OWNER
ISPECIAL CONDITIONS:
]CONTRACTOR: [ I I
I TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1
[SAME AS OWNER - I I
' LIC. NO ' 'UNDER SLAB WORK I I I
1 I IWATER SERVICE I I I
I [PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I
I - I IROUGH PLUMBING
1 LIC. NO: I
1 I I
I I IGAS PIPING
I I I
IGAS VENT I I
I I IHOT WATER HEATER ]
I I I
I [ 'PLUMBING FIXTURES
I ] "�/ /I A
'LAWN SPRINKLERS I I [
'
EXPRED u 'GAS TEST
[UTILITY COMPANY NOTIFIED( [ 1
1 I ICWV I I I
IGRAY WATER SYSTEM ] I I
I I I
I I I I I ]
1 I I I I I
I I I I I I
I ] I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 I I
I I I ] I I